Provider Demographics
NPI:1306392410
Name:RACHEL MADEL SPEECH THERAPY INC
Entity type:Organization
Organization Name:RACHEL MADEL SPEECH THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MADEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-832-0943
Mailing Address - Street 1:3019 OCEAN PARK BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-3004
Mailing Address - Country:US
Mailing Address - Phone:484-832-0943
Mailing Address - Fax:
Practice Address - Street 1:707 GRANT STREET
Practice Address - Street 2:UNIT 15
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-3004
Practice Address - Country:US
Practice Address - Phone:484-832-0943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-29
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency